Doctor Name: | MR. WILLIAM MICHAEL CARESTIO |
NPI Number: | 1013399971 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | R.N. |
License Number: | 234898 |
Business Practice Address: | 1333 Iris Ave Boulder, CO - 803042226 |
Business Phone Number: | 3034438500 |
Business Fax Number: | |
Mailing Address: | 1333 Iris Ave, BOULDER |
State: | CO |
Postal Code: | 803042226 |
Phone Number: | 3034438500 |
Fax Number: | |
NPI Enumeration Date: | 06/26/2015 |
NPI Last Update Date: | 06/26/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WP0808X |
License Number: | 234898 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |